ID

31316

Beschreibung

Study ID: 104574 Clinical Study ID: AR1104574 Study Title: A randomized blinded pilot trial of fondaparinux sodium (Arixtra®) versus unfractionated heparin in addition to standard therapy in a broad range of patients undergoing percutaneous coronary intervention (ASPIRE) Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: fondaparinux sodium Trade Name: Arixtra Study Indication: Thromboembolism

Stichworte

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  1. 13.08.18 13.08.18 -
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GlaxoSmithKline

Hochgeladen am

13. August 2018

DOI

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Fondaparinux sodium (Arixtra) versus unfractionated heparin with patients undergoing PCI; Clinical Study ID: AR1104574

Englisch

Study Completion/Investigator's Final Statement

1 Formulare  
Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Patient ID, Centre No.
Beschreibung

Patient ID; Centre Number

Datentyp

text

Alias
UMLS CUI [1,1]
C1269815
UMLS CUI [1,2]
C2825181
UMLS CUI [1,3]
C1300638
Patient ID, Envelope No.
Beschreibung

Patient ID; Envelope Number

Datentyp

text

Alias
UMLS CUI [1,1]
C1269815
UMLS CUI [1,2]
C2348585
Patient Initials
Beschreibung

Patient Initials

Datentyp

text

Alias
UMLS CUI [1]
C2986440
Final statement
Beschreibung

Final statement

Alias
UMLS CUI-1
C0008961
UMLS CUI-2
C1710187
Was the study drug unblinded at any time during the study?
Beschreibung

study drug unblinded

Datentyp

text

Alias
UMLS CUI [1,1]
C0304229
UMLS CUI [1,2]
C3897431
Did patient withdraw consent during the study?
Beschreibung

consent withdrawn

Datentyp

text

Alias
UMLS CUI [1]
C1707492
Additional comments
Beschreibung

Comment

Datentyp

text

Alias
UMLS CUI [1]
C0947611
Investigator's signature
Beschreibung

Investigator's signature

Datentyp

text

Alias
UMLS CUI [1]
C2346576
Please print investigator last name in block capitals
Beschreibung

investigator last name

Datentyp

text

Alias
UMLS CUI [1,1]
C0008961
UMLS CUI [1,2]
C1301584
Date of signature
Beschreibung

Investigator signature, date

Datentyp

date

Alias
UMLS CUI [1,1]
C2346576
UMLS CUI [1,2]
C0011008
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Ähnliche Modelle

Study Completion/Investigator's Final Statement

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Patient ID; Centre Number
Item
Patient ID, Centre No.
text
C1269815 (UMLS CUI [1,1])
C2825181 (UMLS CUI [1,2])
C1300638 (UMLS CUI [1,3])
Patient ID; Envelope Number
Item
Patient ID, Envelope No.
text
C1269815 (UMLS CUI [1,1])
C2348585 (UMLS CUI [1,2])
Patient Initials
Item
Patient Initials
text
C2986440 (UMLS CUI [1])
Item Group
Final statement
C0008961 (UMLS CUI-1)
C1710187 (UMLS CUI-2)
Item
Was the study drug unblinded at any time during the study?
text
C0304229 (UMLS CUI [1,1])
C3897431 (UMLS CUI [1,2])
study drug unblinded
Code List
Was the study drug unblinded at any time during the study?
CL Item
No (No)
CL Item
Yes (Specify) (Yes (Specify))
Item
Did patient withdraw consent during the study?
text
C1707492 (UMLS CUI [1])
consent withdrawn
Code List
Did patient withdraw consent during the study?
CL Item
No (No)
CL Item
Yes (give date) (Yes (give date))
Comment
Item
Additional comments
text
C0947611 (UMLS CUI [1])
Investigator's signature
Item
Investigator's signature
text
C2346576 (UMLS CUI [1])
investigator last name
Item
Please print investigator last name in block capitals
text
C0008961 (UMLS CUI [1,1])
C1301584 (UMLS CUI [1,2])
Investigator signature, date
Item
Date of signature
date
C2346576 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
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